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The Latest Breaking News from Medicare Advantage

This open enrollment season, look out for health insurance that seems too good to be true

It took nearly a year for Kelly Macauley to realize the health plan she bought while shopping for insurance coverage last October was not, in fact, insurance. Sure, red flags popped up along the way, but when she called to complain, she said, she was met with explanations that sounded…

Tribune News Service

Medicare Open Enrollment Occurs Annually from October to December — Here's What You Need to Know

Medicare open enrollment is underway. Here's what you need to get done.

Kiplinger

Nursing home surprise: Advantage plans may shorten stays to less time than Medicare covers

After 11 days in a St. Paul, Minnesota, skilled nursing facility recuperating from a fall, Paula Christopherson, 97, was told by her insurer that she should return home.

Tribune News Service

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In major retreat, Bright Health halts individual health insurance coverage

Bright Health Group will end individual and family health insurance coverage and reduce its Medicare Advantage coverage to just two states, steps that will cut its revenue in half.

Tribune News Service

How to change Medicare plans — and why you might want to

Medicare open enrollment starts soon, but 7 in 10 Medicare beneficiaries say they don’t compare Medicare plans during this period, which stretches from Oct. 15 to Dec. 7

The Independent UK

Nursing home surprise: Medicare Advantage plans covering less time than Medicare covers

Health care providers, nursing home representatives and patient advocates say Medicare Advantage plans increasingly are ending members’ coverage for nursing home and rehabilitation services before patients are healthy enough to go home.

Chicago Sun-Times

Exercise caution with zero-premium Medicare Advantage plans

Health insurers will flood the Medicare Advantage market again this fall with enticing offers of plans that have no monthly price tag

The Independent UK

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Walmart, UnitedHealth Group announce a partnership on clinic care and Medicare Advantage coverage

UnitedHealth Group and Walmart on Wednesday announced a 10-year health care partnership that will begin with enhancements for 15 clinics in the southeast U.S. as well as the launch of a co-branded Medicare Advantage health plan.

Tribune News Service

Medicare Advantage plans face criticism at congressional hearing for denying care, overcharging

Witnesses sharply criticized the fast-growing health plans, citing audits and other reports that described plans denying access to health care.

Chicago Sun-Times

Government watchdogs attack Medicare Advantage for denying care and overcharging

Congress should crack down on Medicare Advantage health plans for seniors that sometimes deny patients vital medical care while overcharging the government billions of dollars every year, government watchdogs told a House panel this week.

Tribune News Service

Why so slow? Legislators take on insurers’ delays in approving prescribed treatments

Andrew Bade, who was diagnosed with Type 1 diabetes nearly two decades ago, is accustomed to all the medical gear he needs to keep his blood sugar under control. His insulin pump contains a disposable insulin cartridge, and a plastic tubing system with an adhesive patch keeps in place the…

Tribune News Service

EXCLUSIVE: Skylight Health To Buy NeighborMD To Expand In Florida, Enter Medicare Advantage Global Risk

Skylight Health Group Inc (NASDAQ: SLHG) has agreed to acquire NeighborMD (NMD) for $8 million. Skylight has also arranged a $20 million debt line facility with a New York-based credit lender.

Benzinga

Medicare Advantage plans denied nearly 1 in 5 claims that should have been paid, HHS finds

The agency’s inspector general found that private Medicare Advantage plans denied 18% of claims allowed under Medicare rules —often because of the insurers’ errors in processing claims.

Chicago Sun-Times

Humana Q1 Earnings Beats Expectations, Raises FY22 Profit Guidance

Humana Inc (NYSE:HUM) has posted Q1 adjusted sales of $24.08 billion, beating the consensus of $23.51 billion. The benefits expense ratio increased from 86.4% to 85.9%, and the operating cost ratio increased from 12% to 9.7%. Humana posted an adjusted EPS of $8.04, beating the consensus of $6.78 and $6.38 posted a…

Benzinga

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Tribune News Service

Denunciantes dicen que las aseguradoras de salud estafan a Medicare para ganar miles de millones

Teresa Ross llevaba meses planteando objeciones en el trabajo cuando sus jefes trajeron a un psicólogo con la esperanza de hacerle cuestionar su propia cordura.

Benzinga

UBS Upgrades Rating to Buy for Humana, Raises Price Target To $520

UBS upgraded its rating of Humana (NYSE:HUM) to Buy with a price target of $520.00, changing its price target from $486.00 to $520.00. Shares of Humana are trading up 2.2% over the last 24 hours, at $458.92 per share. A move to $520.00 would account for a 13.31% increase from…

Tribune News Service

Whistleblowers say health insurers are scamming Medicare to make billions

Teresa Ross had been raising objections at work for months when her bosses brought in a psychologist hoping to make her question her own sanity.

Kiplinger

The Rules for Making a Medigap Switch

Kiplinger provides guidance on how to make a Medicare Medigap switch to get the best plan for your budget.

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news in one place.

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Benzinga

Albertsons Allows Customers To Use Supplemental Benefits To Buy Products

Albertsons Companies Inc (NYSE:ACI) customers can use supplemental benefits to purchase over-the-counter medications and fresh produce in the company's stores. The program provides access to customers using pre-paid cards funded by Medicare Advantage plans, employer incentives, healthcare providers, or local governments. The company has partnered with technology payments platforms such as Solutran's S3…

Tribune News Service

Medicare Advantage plans send pals to seniors’ homes for companionship — and profits

Widowed and usually living alone, Gloria Bailey walks with a cane after two knee replacement surgeries and needs help with housekeeping.

Tribune News Service

Seeking to shift costs to Medicare, more employers move retirees to advantage plans

As a parting gesture to a pandemic-ravaged city, former New York Mayor Bill de Blasio hoped to provide the city with a gift that would keep on giving: new health insurance for 250,000 city retirees partly funded by the federal government. Although he promised better benefits and no change in…

Tribune News Service

Mayo stops scheduling out-of-network Medicare Advantage patients in Minnesota

Mayo Clinic is not scheduling appointments for seniors in certain Medicare Advantage health plans because their insurers haven't negotiated contracts for in-network access to the world-renowned medical center.

Kiplinger

When Is Medicare Open Enrollment?

During the annual enrollment period each fall, you can select a new Medicare Advantage or Part D plan or switch back to original Medicare.

Kiplinger

11 Costly Medicare Mistakes You Should Avoid Making

If you don't make the right choices, you could end up with higher Medicare premiums and high out-of-pocket costs.

Kiplinger

How Medigap Insurance Is Affected by Preexisting Conditions

Delaying enrollment in a medigap policy can lead to higher premiums and denial of coverage in most states.

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